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General NPI Number Information
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NPI Number | 1902389521
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Entity Type | Organization
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Legal Business Name | WOODLANDS HEALTH GROUP, PLLC
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 24624 INTERSTATE 45 N STE 125
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City | SPRING
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State | TX
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Zip | 77386-4084
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Country | US
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Telephone | 301-928-1697
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Fax |
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Provider Business Mailing Address
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Address Line | 12180 N MOPAC EXPY STE B
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City | AUSTIN
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State | TX
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Zip | 78758-2909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN J RUSH
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Credential |
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Telephone | 301-928-1697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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